Healthcare Provider Details

I. General information

NPI: 1972709822
Provider Name (Legal Business Name): CUCINOTTA & OCCHIPINTI MDS APC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2007
Last Update Date: 08/07/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4770 S I 10 SERVICE RD W STE 110
METAIRIE LA
70001
US

IV. Provider business mailing address

4770 S I 10 SERVICE RD W STE 110
METAIRIE LA
70001-1224
US

V. Phone/Fax

Practice location:
  • Phone: 504-454-3277
  • Fax: 504-887-8934
Mailing address:
  • Phone: 504-454-3277
  • Fax: 504-887-8934

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: MRS. ELIZABETH JACQUES
Title or Position: MANAGER
Credential:
Phone: 504-454-3277